Individual provider Active NPI

Ioannis P Glavas, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Boston, MA
National Provider Identifier
1093708778
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
207834 Issued in MA
Practice address
115 Newbury St
Boston, MA 02116-2935
Phone
(617) 725-1921
Fax
(866) 365-1847
NPI assigned
Aug 26, 2005
Last updated
Mar 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 207834 MA Primary

Addresses

Primary practice location

115 Newbury St
Boston, MA 02116-2935

Mailing address

115 Newbury St FL 5
Boston, MA 02116-2935
Phone (617) 725-1921

Other identifiers 8

IdentifierTypeStateIssuer
3561734OtherMAAETNA/US HEALTHCARE
AA16977OtherMAHARVARD PILGRIM
J27979OtherMABC/BS
469615OtherMATUFTS HEALTH
CE5062OtherRAILROAD MEDICARE
0033970OtherMANHP NEIGHBORHOOD HEALTH
0801592OtherMAUNITED HEALTHCARE
2071045MedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Glavas.Ioannis.MSE@direct.partners.masshiway.net Health Information Exchange (HIE)
Direct Messaging Address Glavas.Ioannis.MSE@direct.partners.masshiway.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000868 MA Practitioner - Ophthalmology 8729059035 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Microsurgical Eye ConsultantsGroup PAC ID 9739140104, 12 clinicians
Boston Eye Physicians and Surgeons, P.C.Group PAC ID 0244393973, 6 clinicians

Practice addresses (Care Compare)

100 Cummings Ctr
Beverly, MA 01915-6105
Phone (978) 712-8090

115 Newbury St
Boston, MA 02116-2935
Phone (617) 725-1921

31 Centennial Dr
Peabody, MA 01960-7901
Phone (978) 531-4400

400 Highland Ave
Suite 20
Salem, MA 01970-1783
Phone (978) 744-1177

44 Washington St
Suite 103a
Brookline, MA 02445-7167
Phone (617) 232-9600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207834MAMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Eye Physicians & Surgeons, P.C. Ophthalmic Plastic and Reconstructive Surgery CurrentSince May 1, 2023 Accepting new patients
Boston Laser Eye Institute, PC Current Accepting new patients
Eye Center of the North Shore, LLC CurrentSince Aug 1, 2011 Accepting new patients
Ioannis P. Glavas, M.D., PLLC Ophthalmic Plastic and Reconstructive Surgery CurrentSince Oct 1, 2005 Accepting new patients
Eye Center of the North Shore, LLC CurrentSince Aug 1, 2011 Accepting new patients
Center for Eye Health Inc CurrentSince Sep 10, 2009 Accepting new patients
Microsurgical Eye Consultants CurrentSince Jun 18, 2008 Accepting new patients
Center for Eye Health Inc CurrentSince Sep 10, 2009 Accepting new patients
Microsurgical Eye Consultants Past Accepting new patients

Locations

100 Cummings Ctr
Ste 106D
Beverly, MA 01915
Phone (978) 712-8090

115 Newbury St
Boston, MA 02116
Phone (617) 725-1921

115 Newbury St
Fl 5
Boston, MA 02116

115 Newbury St
Ste 5
Boston, MA 02116
Phone (617) 725-1921

115 Newbury St
Ste 502
Boston, MA 02116
Phone (617) 725-1921

9 Newbury St
Ste 6
Boston, MA 02116
Phone (617) 725-1921

1 Pearl St
Ste 1100
Brockton, MA 02301
Phone (508) 584-2100

44 Washington St
Ste 103A
Brookline, MA 02445
Phone (617) 232-9600

172 Cambridge St
Burlington, MA 01803
Phone (701) 272-4944

1030 President Ave
Fall River, MA 02720
Phone (508) 235-6427

31 Centennial Dr
Peabody, MA 01960
Phone (978) 531-4400

400 Highland Ave
Ste 20
Salem, MA 01970
Phone (978) 744-1177

Interoperability endpoints

  • Direct secure messaging: glavas.ioannis.mse@direct.partners.masshiway.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: igalvas@bostonvision.intellechartdirect.net
  • Direct secure messaging: ioannis.glavas.1@16489.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1093708778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NEWBURY ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162935",
            "telephone_number": "617-725-1921",
            "fax_number": "866-365-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NEWBURY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162935",
            "telephone_number": "617-725-1921",
            "fax_number": "866-365-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVAS",
        "first_name": "IOANNIS",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "MA",
            "license": "207834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "3561734",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA16977",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "J27979",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH",
            "identifier": "469615",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE5062",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP NEIGHBORHOOD HEALTH",
            "identifier": "0033970",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0801592",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2071045",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Glavas.Ioannis.MSE@direct.partners.masshiway.net",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9 Newbury St",
            "address_2": "6th Floor",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021163130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Glavas.Ioannis.MSE@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "9 Newbury St",
            "address_2": "6th Floor",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021163130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.